| NPI | 1417206541 |
|---|---|
| Former Name | MISTY R. POOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009038A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007632) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2023-08-01 |